5 Year Old Cancer Patient Abducted By Parents From Hospital!

5 Year Old Cancer Patient Abducted By Parents From Hospital!

Author
Discussion

hairykrishna

13,165 posts

203 months

Friday 5th September 2014
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Eclassy said:
Breadvan72 said:
Wootabulous! Radiotherapy doesn't fry your brain, but reading some stuff on the internet might! As for trying to shift a holiday property in Spain in a hurry, good luck with that!
BS.... You know what I mean by 'fry your brain' basic radiotheraphy would have damaged surrounding tissue which will inturn lead to other organ failure. PBT minimises this risk.
Proton therapy will also damage surrounding tissue. It just has a sharper edge to the dose distibution. There is less experience in treatment planning with protons. Beam control is more difficult. The process in general means that, probably, at the moment the plan won't be as good. In some situations, like minor movements of tissue, a sharper field might actually work against you as it means a small positional error becomes a large error in dose. The radiobiology of oarticle beams is less well understood.

I think proton therapy is amazing. I work closely with a few guys who led Birminghams bid to become a proton center. Modern photon therapy is also pretty astonishing though - check out VMAT and Tomotherapy.

The simple truth is that if there was a clear clinical case for this kid to get protons then he would have got them on the nhs. My guess, and it is a guess without knowing details, is that there's next to no difference between protons and photons for him.

anonymous-user

54 months

Friday 5th September 2014
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carinaman said:
Did I hear it correctly lastnight, that the 'battery' that could have expired at any moment was swapped for the one in their car? Ashya's food pump was powered by a 12V car battery? The same as the 12V car batteries that some PHers buy online?

At least they said the battery could run out of charge and not explode. So the plumbing between the pump and patient is transparent or translucent so it's operation can be determined by a simple visual inspection?

Can't they get the parents on a theft charge for the food pump and battery?
Yeah, that'd learn 'em. rolleyes

JuniorD

8,620 posts

223 months

Friday 5th September 2014
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hairykrishna said:
The simple truth is that if there was a clear clinical case for this kid to get protons then he would have got them on the nhs.
Exactly this.





s2art

18,937 posts

253 months

Friday 5th September 2014
quotequote all
JuniorD said:
hairykrishna said:
The simple truth is that if there was a clear clinical case for this kid to get protons then he would have got them on the nhs.
Exactly this.
How do you know? Perhaps it was something along the lines of 'Its not clear cut and the cost is huge, cost benefit analysis says no'.

hairykrishna

13,165 posts

203 months

Friday 5th September 2014
quotequote all
s2art said:
How do you know? Perhaps it was something along the lines of 'Its not clear cut and the cost is huge, cost benefit analysis says no'.
Because, as far as I'm aware, that's not how it works on an individual patient treatment level. The NHS funds treatment with protons when a clinician deems it necessary. If a clinician decides that there's a clear benefit for a individual patient if they receive protons then that's what they get.

I've met couple of neurosurgeons and an oncologist through my work - this is essentially what they've told me in the past. They decide on whatever's best within the options available. Some options aren't of course, which is a compromise that has to be made. The no go options are normally very expensive new drugs where the efficacy evidence is marginal.

I also asked this very question of the director of medical physics at a big NHS trust over coffee this morning. He told exactly what I said i.e. if the team treating the kid decided there was a clear clinical case then he would have got them on the nhs.

I know all of these people pretty well and I don't think this is pr flannel. None of them are afraid of criticising the nhs system.


Edited by hairykrishna on Friday 5th September 17:31

anonymous-user

54 months

Monday 15th September 2014
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The wardship judgment, which is admirably clear.

http://www.judiciary.gov.uk/wp-content/uploads/201...

QuantumTokoloshi

4,162 posts

217 months

Monday 15th September 2014
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Breadvan72 said:
The wardship judgment, which is admirably clear.

http://www.judiciary.gov.uk/wp-content/uploads/201...
Admirably clear and precise.

kev b

2,714 posts

166 months

Tuesday 16th September 2014
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IANAL and my experience of the legal profession leaves me with mixed feelings at best.

I must say though that the judgement in this case seems exemplary, clear, well considered and compassionate, everything you would hope for in fact.

A tragic situation for the boy and his family but at least now they are able to move forward without being embroiled in a drawn out court action.


Beati Dogu

8,881 posts

139 months

Tuesday 16th September 2014
quotequote all
hairykrishna said:
The simple truth is that if there was a clear clinical case for this kid to get protons then he would have got them on the nhs. My guess, and it is a guess without knowing details, is that there's next to no difference between protons and photons for him.
My understanding is that there isn't a suitable facility available in the UK yet. They are building one in Manchester and one in London, but they won't be open until 2018. As you say, there may be one in Birmingham eventually too.

Clearly his parents are desperate for the poor lad, which is why they wanted to take him to the Proton Therapy Centre in Prague.

carinaman

21,274 posts

172 months

Friday 26th September 2014
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BBC Radio 4 News 20.00 - The NHS are paying for the Proton Beam treatment in the Czech Republic.

Murph7355

37,682 posts

256 months

Saturday 27th September 2014
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carinaman said:
BBC Radio 4 News 20.00 - The NHS are paying for the Proton Beam treatment in the Czech Republic.
And then we wonder why we have a massive deficit, national debt and why the NHS is fubar'd...

MarshPhantom

9,658 posts

137 months

Saturday 27th September 2014
quotequote all
Murph7355 said:
carinaman said:
BBC Radio 4 News 20.00 - The NHS are paying for the Proton Beam treatment in the Czech Republic.
And then we wonder why we have a massive deficit, national debt and why the NHS is fubar'd...
Tax avoidance?

mph1977

12,467 posts

168 months

Saturday 27th September 2014
quotequote all
Murph7355 said:
carinaman said:
BBC Radio 4 News 20.00 - The NHS are paying for the Proton Beam treatment in the Czech Republic.
And then we wonder why we have a massive deficit, national debt and why the NHS is fubar'd...
If there had been a clear cut clinical case in the first place the NHS would have paid and/or the king Family has not flounced then the NHS might have paid, but that would have meant a change in circumstances fro mthe original refusla and perhaps the king Family to accept actual clinical evidence and best advice rather than the anti Radiotherapy / anti chemo woo and wibble on the web.

This doesn't of course mean that the delaying in trement due to the running off stuff haven't changed the clinical picture in favour of proton beam due to the delay in commencing the second stage of treatment after the removal / debulking of the tumour..

Edited by mph1977 on Saturday 27th September 11:15

hairykrishna

13,165 posts

203 months

Saturday 27th September 2014
quotequote all
Beati Dogu said:
hairykrishna said:
The simple truth is that if there was a clear clinical case for this kid to get protons then he would have got them on the nhs. My guess, and it is a guess without knowing details, is that there's next to no difference between protons and photons for him.
My understanding is that there isn't a suitable facility available in the UK yet. They are building one in Manchester and one in London, but they won't be open until 2018. As you say, there may be one in Birmingham eventually too.

Clearly his parents are desperate for the poor lad, which is why they wanted to take him to the Proton Therapy Centre in Prague.
We routinely pay for patients who'll get a clear benefit to be treated with protons in the US.

It's important for patients like Aysha to get treatment quickly. It's also important that once started he doesn't miss any fractions.

Edited by hairykrishna on Saturday 27th September 11:05

Murph7355

37,682 posts

256 months

Saturday 27th September 2014
quotequote all
MarshPhantom said:
Tax avoidance?
You mean the act of people paying the amount of tax they are legally obliged to? No, I don't think that has anything to do with us spending 100bn more than we take in or being over 1tn in debt.

Paying the Czechs for medical treatment that our medical professionals didn't think was the best approach before the kid's parents absconded won't help though.

Still, I'm sure the tax you elect to overpay this year will go some way to offsetting the bill wink

carinaman

21,274 posts

172 months

Wednesday 1st October 2014
quotequote all
mph1977 said:
Murph7355 said:
carinaman said:
BBC Radio 4 News 20.00 - The NHS are paying for the Proton Beam treatment in the Czech Republic.
And then we wonder why we have a massive deficit, national debt and why the NHS is fubar'd...
If there had been a clear cut clinical case in the first place the NHS would have paid and/or the king Family has not flounced then the NHS might have paid, but that would have meant a change in circumstances fro mthe original refusla and perhaps the king Family to accept actual clinical evidence and best advice rather than the anti Radiotherapy / anti chemo woo and wibble on the web.
Is 'flouncing' an indictable offence?

May be if the family weren't threatened or felt threatened?

carinaman

21,274 posts

172 months

ZOLLAR

19,908 posts

173 months

Monday 23rd March 2015
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Blib

43,948 posts

197 months

Monday 23rd March 2015
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The results have vindicated the family's desperate decision. A terrible time for them and their son looks to be at an end.

mph1977

12,467 posts

168 months

Monday 23rd March 2015
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Blib said:
The results have vindicated the family's desperate decision.
has it ?
or are you just falling for the facile Heily Fail headline ...